Phyllis Tisdale, FNP

ActiveIndividual ProviderNurse Practitioner
NPI issued: February 19, 2019

Quick Facts

NPI Number
1235695974
TypeIndividual
StatusActive
SpecialtyNurse Practitioner
Taxonomy363LF0000X — Nurse Practitioner
Phone
(562) 221-0555
StateCA

NPI Validation Status: Verified

✅Valid 10-digit NPI number (1235695974)
✅Active status confirmed
✅Verified by CMS NPPES Registry
✅HIPAA compliant identifier
✅Enumeration date on file (February 19, 2019)
Data source: CMS NPPES

Provider Overview

PHYLLIS TISDALE, FNP is a Nurse Practitioner provider based in Los Angeles, CA who has been registered with CMS since 2019. This NPI is currently Active under CMS NPPES registry.

Provider Details

NPI Number1235695974
Provider TypeIndividual Provider
GenderFemale
CredentialFNP
StatusActive
Enumeration DateFebruary 19, 2019

Practice Location

CityLos Angeles
StateCA
ZIP Code90061
Phone(562) 221-0555

Specialties & Licenses

★ Primary
SpecialtyNurse Practitioner
Taxonomy Code363LF0000X
License StateCA

Mailing Address

CityLos Angeles
StateCA
ZIP Code90061
Phone(562) 221-0555
Same as practice location

How to Use This NPI

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For Insurance Billing

Use NPI 1235695974 in Box 33 of the CMS-1500 claim form. This number is required by all major insurance carriers to identify the billing provider and process electronic medical claims.

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For Credentialing

Reference NPI 1235695974for provider credential verification. Hospital systems, state licensing boards, and CAQH directories query this number to verify the provider's active clinical status.

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For Patients

Share NPI 1235695974 with your insurance company. If you need to verify out-of-network benefits or file a reimbursement claim, your insurance provider will require this number to process it.

About Nurse Practitioner

Family Nurse Practitioners (FNPs) provide comprehensive primary healthcare services across the lifespan, including diagnostic assessments, prescribing medications, and disease prevention education.

Browse all Nurse Practitionerproviders →
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People Also Ask

What is Phyllis Tisdale's NPI number?
Phyllis Tisdale's NPI number is 1235695974, a unique 10-digit identifier issued by the Centers for Medicare & Medicaid Services (CMS).
Is Phyllis Tisdale's NPI currently active?
Yes, Phyllis Tisdale's NPI status is Active as of the latest CMS NPPES database updates.
What does Phyllis Tisdale specialize in?
Phyllis Tisdale specializes in Nurse Practitioner. The healthcare taxonomy code associated with this specialty is 363LF0000X.
Where does Phyllis Tisdale practice?
Phyllis Tisdale practices in Los Angeles, CA 90061.
When was Phyllis Tisdale's NPI issued?
Phyllis Tisdale's NPI was issued on February 19, 2019.
What is Phyllis Tisdale's provider type?
Phyllis Tisdale is registered as an Individual Provider under CMS NPI Type 1.